Professor of Nursing, Research Centre for Clinical and Community Practice Innovation, Griffith University, Nathan, Brisbane, AustraliaResearch Assistant, Research Centre for Clinical and Community Practice Innovation, Griffith University, Nathan, Brisbane, AustraliaProfessor of Clinical Nursing Research, Research Centre for Clinical and Community Practice Innovation, Griffith University, and Gold Coast Health Service District, Gold Coast, AustraliaProfessor of Nursing, Research Centre for Clinical and Community Practice Innovation, Griffith University, Logan, Brisbane, Australia.
Int J Older People Nurs. 2008 Jun;3(2):121-30. doi: 10.1111/j.1748-3743.2008.00114.x.
Aim. This paper reviews the theoretical and research-based literature related to the management of people with chronic confusion as a consequence of dementia in the acute care setting. Background. People aged 65 years and over are at increased risk of poor outcomes when admitted to the acute care setting as a result of comorbity and mismanagement of their chronic confusion. The challenge of caring for people with dementia in acute care is one that requires special attention. Results. The theoretical literature outlines a number of principles of care necessary for best practice in the care of people with dementia. A number of different models of care are reported in the literature and some evaluative research has been undertaken to assess the benefits of the different models. Conclusion. There are a number of interventions that if put into place in acute care may improve care of people with dementia and reduce the burden of care. There is emerging evidence that interventions such as staff education, skilled expertise, standardized care protocols and environmental modification help to meet the needs of people with dementia in acute hospital settings. This paper adds to our current understanding of management of dementia in the acute care setting, an area that demonstrates the need to move from descriptive to intervention studies to ensure evidence for care of persons with a dementing condition.
本文回顾了与急性护理环境中痴呆导致的慢性意识混乱患者管理相关的理论和基于研究的文献。背景：由于合并症和对慢性意识混乱管理不善，65 岁及以上的老年人在因疾病而入住急性护理机构时，其预后不良的风险增加。在急性护理中照顾痴呆患者是一个需要特别关注的挑战。结果：理论文献概述了在照顾痴呆症患者方面实施最佳实践所需的一些护理原则。文献中报道了几种不同的护理模式，并且已经进行了一些评估性研究来评估不同模式的益处。结论：有许多干预措施，如果在急性护理中实施，可能会改善痴呆症患者的护理并减轻护理负担。有新的证据表明，工作人员教育、专业技能、标准化护理方案和环境改造等干预措施有助于满足急性医院环境中痴呆症患者的需求。本文增加了我们对急性护理环境中痴呆症管理的现有理解，该领域需要从描述性研究向干预性研究转变，以确保为痴呆患者的护理提供证据。
